EJAZ ALAM (NPI# 1053411942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053411942 |
| Entity Type | Individual |
| Full Name | EJAZ ALAM |
| Credential | MD |
| Practice Address |
9601 Baptist Health Drive Little Rock AR 72205-6321 |
| Mailing Address |
11001 Executive Center Drive Suite 200 Little Rock AR 72211-4393 |
| Practice Telephone | 5018517402 |
| Practice Fax Number | 5018514753 |
| Mailing Telephone | 5018127215 |
| Mailing Fax Number | 5018127207 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | E4578 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 162025001 | 05 |
| Street Address |
9601 BAPTIST HEALTH DRIVE |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588639959 | Michael Glenn Cope | Obstetrics & Gynecology | 9601 Baptist Health Drive, Suite 1200, Little Rock, AR 72205 | 2006-02-21 |
| 1548773179 | Nakille J Coleman | Nurse Practitioner | 9601 Baptist Health Drive, Medical Towers 1- 11th Floor, Little Rock, AR 72205 | 2017-11-06 |
| 1386060218 | Amanda Kay Payne | Nurse Practitioner | 9601 Baptist Health Drive, Suite 1200, Little Rock, AR 72205 | 2014-03-17 |
| 1598021412 | Baptist Health | General Acute Care Hospital | 9601 Baptist Health Drive, Acute Care Physical Therapy, Little Rock, AR 72205 | 2012-04-04 |
| 1316263866 | Patrick Morgan Lang | Obstetrics & Gynecology | 9601 Baptist Health Drive, Medical Tower 1, Suite 250, Little Rock, AR 72205 | 2010-04-08 |
| 1992901730 | Jill Kimmer Jennings | Obstetrics & Gynecology | 9601 Baptist Health Drive, Suite 1200, Little Rock, AR 72205 | 2007-06-26 |
| 1740498435 | Kimberly Krulin Reynolds | Obstetrics & Gynecology | 9601 Baptist Health Drive, Suite 1200, Little Rock, AR 72205 | 2007-05-18 |
| 1255453130 | Brian Michael Burton | Obstetrics & Gynecology | 9601 Baptist Health Drive, Suite 1200, Little Rock, AR 72205 | 2007-04-04 |
| 1275554628 | The Woman's Clinic, Pa | Obstetrics & Gynecology | 9601 Baptist Health Drive, Suite 1200, Little Rock, AR 72205 | 2006-07-21 |
| 1376577387 | Eyad Abochale | Internal Medicine | 9601 Baptist Health Drive, Med Tower 1 Suite 970, Little Rock, AR 72205 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1740797422 | Healthville Pllc | Internal Medicine | 11219 Financial Centre Pkwy Ste 316, Little Rock, AR 72211-3895 | 2018-01-04 |
| 1396284105 | Hospital Medicine | Internal Medicine | 2 Saint Vincent Cir # 6, Little Rock, AR 72205-5423 | 2017-02-14 |
| 1114313962 | Dinesh Atwal | Internal Medicine | 4301 West Markham, Slot 634, Little Rock, AR 72205-7199 | 2015-04-08 |
| 1780095323 | Mahreen Arshad | Internal Medicine | 300 S Shackleford Rd, Little Rock, AR 72211 | 2014-05-16 |
| 1578986212 | Pankaj Mathur | Internal Medicine | 4301 W Markham St # 810, Little Rock, AR 72205-7101 | 2014-01-31 |
| 1275977894 | Srilakshmi Ravula | Internal Medicine | 4301 W Markham St # 610, Little Rock, AR 72205-7101 | 2013-04-25 |
| 1144664491 | Thomas Edward Kasprowicz | Internal Medicine | 9500 Kanis Rd Ste 410, Little Rock, AR 72205-6377 | 2013-04-17 |
| 1194087965 | Jose Diego Caceres | Internal Medicine | 4301 W Markham Street, Pulmonary and Ccm, Slot 555, Little Rock, AR 72205 | 2012-06-08 |
| 1942566419 | Christopher Michael Merrick | Internal Medicine | 4224 B St, Little Rock, AR 72205-4052 | 2012-04-09 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.